MS. KELLAINE CONNOLLY


Address: 41 E Broadway, Salem Central School District, Salem, NY 12865-3100
Phone: 5188549505

MS. KELLAINE CONNOLLY (NPI# 1285901322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285901322
Entity Type Individual
Full Name MS. KELLAINE CONNOLLY
Credential M.S.
Practice Address 41 E Broadway
Salem Central School District
Salem
NY 12865-3100
Practice Telephone 5188549505
Practice Fax Number 5188546972
Mailing Telephone 5188549505
Mailing Fax Number 5188546972
Enumeration Date 2011-11-17
Last Update Date 2011-11-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2355S0801X Specialist/Technologist
Specialization: Speech-Language Assistant
Speech, Language and Hearing Service Providers

Office Location

Street Address 41 E BROADWAY
SALEM CENTRAL SCHOOL DISTRICT
City SALEM
State NY
Zip Code 12865-3100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871641464 Salem Central School Local Education Agency (LEA) 41 E Broadway, Salem, NY 12865-3100 2007-01-08
1972878056 Stacy Lin Durrin Riche Occupational Therapist 41 E Broadway, Salem, NY 12865-3100 2012-03-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467478917 Salem Rescue Squad Inc Ambulance 152 East Broadway, Salem, NY 12865 2006-07-15
1902101264 Barbara J Pratt Physical Therapist 213 Main St, Salem, NY 12865 2011-01-18
1053522268 Carrie L Mcneil Family Medicine 213 Main Street, Salem Family Health Center, Salem, NY 12865 2007-05-28
1194818658 Kelly M Smith Physician Assistant 213 Main Street, Salem Family Health Center, Salem, NY 12865 2006-10-02
1275544819 Glenns Pharmacy Inc Pharmacy 205 Main St, Salem, NY 12865 2006-08-10
1710052055 Bryer Chiropractic Tr Chiropractor Co 197 North Main Street, Salem, NY 12865-0007 2006-11-21
1285921411 Kathleen Christensen Registered Nurse 29 Park Place, Salem, NY 12865-0093 2011-07-08
1972670362 Glenn Stokem Pharmacist 205 Main St, Salem, NY 12865-0624 2006-11-29
1275609216 Beth Steves Pharmacist 205 Main St, Salem, NY 12865-0624 2006-11-28
1164639993 Eileen Kathryn Dashnaw Occupational Therapist 42 Priest Rd, Salem, NY 12865-1914 2007-05-17
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Taxonomy Information

Taxonomy Code 2355S0801X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist
Specialization Speech-Language Assistant

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1194377804 Jessica Lush Specialist/Technologist 1475 Capitol St Ne, Salem, OR 97301-7850 2019-07-12

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1306497722 Laurie Joan Shuster Specialist/Technologist 3007 Whaleneck Dr, Merrick, NY 11566-5324 2019-09-26
1841799194 Deanne Seeley Specialist/Technologist 426 Stage Rd, Buskirk, NY 12028-2602 2018-02-01
1992225908 Coralace Campbell Specialist/Technologist 1216 Dean St, Brooklyn, NY 11216-3101 2017-06-21
1689104036 Beth A Sanders Specialist/Technologist 4535 Southwestern Blvd Ste 203, Hamburg, NY 14075-1861 2017-06-19
1699211797 Felecia Hanesworth Specialist/Technologist 2685 Whitehaven Rd, Grand Island, NY 14072-1540 2017-01-12
1831641588 Raysa Polanco Specialist/Technologist 508 W 139th St Apt 1, New York, NY 10031-7747 2016-10-28
1336690999 Lorelle Ricco Specialist/Technologist 182 Suffolk Ave, Staten Island, NY 10314-6946 2016-10-19
1518416056 Susan Hammer Specialist/Technologist 2973 Brentwood Ct, Wantagh, NY 11793-4522 2016-09-26
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Competitor

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City SALEM
Zip Code 12865

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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